Transcript
Lauren Pollitt (00:00) hello?
Peter Bosworth (00:01) Hey, Lauren. How’s it going?
Lauren Pollitt (00:03) Good. How are you, Peter?
Peter Bosworth (00:06) Doing well. Thank you. It’s like ad degrees in Colorado today. Do.
Lauren Pollitt (00:12) not rub it in? It’s like 32 here. So, thank you.
Peter Bosworth (00:16) Where are you again?
Lauren Pollitt (00:18) Jersey, we had 80 degrees last week actually like this time last week and then Thursday it was, and then all of a sudden it started snowing again like it literally went from 68 degrees in the morning where we had to have the windows open all night because it was so hot in the house to then by the end of the day, it was wet snow. It was like it was all seasons in one day. I didn’t even know how to handle it.
Peter Bosworth (00:44) In a weird way that makes me happy because I’m glad it’s winter somewhere because the world is changing and we’re doomed, but I.
Lauren Pollitt (00:54) don’t know. I don’t think we’re doomed. I’m ready for your warm weather. So just bring it on please because I’m tired of being cold. I’m so cold.
Genevieve Seney (01:02) Hey, Lauren. Oh.
Lauren Pollitt (01:04) Hi Genevieve. How are you? It’s been a?
Genevieve Seney (01:06) While I know it’s good to see you. I’m also ready for a good jersey summer.
Lauren Pollitt (01:12) Yes, please. I’m so over it so done. I was just talking about the weather last week, how it went from hot to in one day, 68 degrees to wet snow by the end of the night and I know you got the same thing and it was insane like I just,
Genevieve Seney (01:27) oh, big spring. It really, I was like went for a run outside. It was so nice. And then it was like depressing the next two days.
Lauren Pollitt (01:34) Yes, it’s horrible. It’s horrible. Good to.
Genevieve Seney (01:37) See you though.
Lauren Pollitt (01:38) Yes, you too. All right. So, Peter, I got the approval to do an addendum clearly which is, I know was what we were talking about.
Lauren Pollitt (01:43) So really what I would like to know is, what do you think we, how do you think we should proceed with this addendum and what numbers do you think we should use to avoid getting an overage invoice. Yes.
Peter Bosworth (01:55) Okay, great. So that’s great to know. I think what we’re hoping to collaborate, I guess on that. So this is where it stands today? Yep. But in terms of, I guess we could start with, like how many additional providers do you anticipate adding between now and the end of the year? Just to the platform itself?
Lauren Pollitt (02:18) Probably 10 to 15 more.
Peter Bosworth (02:21) Okay. Sorry, let me get my note page up here. I,
Genevieve Seney (02:25) can take notes too, Peter, while you’re okay.
Peter Bosworth (02:28) Okay, great. And then I’ll share my screen again. So, and then in terms of new licenses… so.
Lauren Pollitt (02:43) Does that 89 include the ones that are still like the other 62 that haven’t been done yet? Is that everything?
Peter Bosworth (02:51) This is, this does not include that actually. So this, is there just what’s been marked as consumed? And then there are 62 in upcoming consumption?
Lauren Pollitt (03:05) Alright. So.
Lauren Pollitt (03:13) So, technically, 151, right? Is that math, right? We purchased 75, but we used 151.
Peter Bosworth (03:22) Yes. And actually now it’s so, let me see. The numbers have shifted slightly. So now it’s yep, still 89 consumed. And then 64 in.
Lauren Pollitt (03:33) Upcoming. Who submitted licenses? I got it.
Peter Bosworth (03:38) 64 plus 89 is 153.
Lauren Pollitt (03:44) So, somebody just submit something because I’m the only one who’s supposed to be submitting anything on here. Okay?
Peter Bosworth (03:54) I can… so these, actually, there were two requests made on three six teen.
Lauren Pollitt (04:05) A boil.
Peter Bosworth (04:07) At my eyes. Yeah.
Lauren Pollitt (04:13) All right. That’s my SLP. Okay. Hold on a second. I need to ask her to stop submitting licenses right now.
Lauren Pollitt (04:27) Okay. All right. So with that being said now, so technically, it’s 100 or 153 at that point now that have been consumed and we only purchased 75.
Peter Bosworth (04:40) Correct. Yeah. So, I guess then, so then the question becomes like beyond those because those are kind of like accounted for what additional done?
Lauren Pollitt (04:54) Done done.
Peter Bosworth (04:58) No new licenses?
Lauren Pollitt (05:01) Not until next year. No. Okay.
Peter Bosworth (05:09) So, for renewals, license renewals, I’m about to tell you the exact number of licenses that are up for renewal, yes, between now and December… Christmas eve. What a fun contract?
Lauren Pollitt (05:29) It.
Peter Bosworth (05:31) is so, and again, this is like where we’re going to need some of your input because we’re just, this is what’s in the platform. So there’s 116 licenses that are up for renewal between now and the end of and Christmas eve of this year? And of those, none have been scheduled for renewal, yet, right? Or actually, sorry, one two three.
Peter Bosworth (06:07) Only two have. So, does that make sense? So 114 would be the number? Yeah.
Lauren Pollitt (06:21) I feel like with renewals that’s… not, it’s more of the new licenses, the renewals are a lot easier where like we could ask the provider to do that. You know what I mean? By themselves, which I know because like once they already have the license, it’s very easy just to go in and do that. So like I feel comfortable with that. Maybe if we up that to like 30 and then maybe only for the MDS, I’ll submit a renewal as needed versus all of the MPS that we have. I think my biggest concern is the state licensing piece. Like I don’t plan on submitting any more licenses right now only because of how far over we are, like we have technically 153 requests. We purchased 75, not realizing that we… were going to be onboarding all these different providers. And I think the other thing, is like, these are, we probably should have targeted a different population of nurse practitioners who were multi licensed versus just being licensed in one of the states if that makes sense. So… like what are your recommendations for this licensing piece? Like honestly?
Peter Bosworth (07:32) Yeah. Well, I guess if you want to filter it down by, we’re only going to do renewals for MDS, then that helps me arrive at a number. Is that where you go ahead?
Lauren Pollitt (07:40) Yeah. Go ahead. Okay?
Peter Bosworth (07:42) So, we can say that would be and dos as well. Do you have any dos?
Lauren Pollitt (07:49) Yeah. And you can take Maria Ramos out of that equation because she works for another organization who does all of her renewals for her. Okay? So.
Peter Bosworth (08:04) That would be, 51 minus Maria.
Peter Bosworth (08:12) Maria’s.
Peter Bosworth (08:17) sorry, that’s okay?
Peter Bosworth (08:35) All right. So, 51 minus 11 is 40.
Lauren Pollitt (08:41) All right. So then let’s up it the renewals, then we can up to another 20, which would give us 40. So.
Peter Bosworth (08:49) I think the way we would look at that is that you have, you’ve used eight and there’s two in upcoming consumption. So that makes 10. So if we add 40, we would look, it would be 40 additional. Yeah. So the total would be 60. Okay. It was just 40 additional. Yeah.
Lauren Pollitt (09:16) That’s fine. All right. So, 60 renewal medallion… core. I guess let’s go back to this where I think we’re gonna need another… 10 to 15. So if we’ve already used 40… maybe we go with 60, yeah.
Peter Bosworth (09:37) And sorry, just to reframe how we’re coming at these numbers, we’re gonna discuss them all like as, in terms of incrementally like adding, so like I think that would, so then if you’re adding 15, the number would be 18 because it’s the three that are currently over consumed plus the 15 additional. Yeah. Does that make sense? Jen? Yes, it does.
Genevieve Seney (09:59) Correctly. Yeah, that’s correct. So that would be the same for core monitoring. And I’d assume cred and cqa because you would only.
Lauren Pollitt (10:05) Need, yes. So red every, so here’s the thing with cred, do you see it needs to match the medallion core? Because every provider that we’re putting in this platform has to be credentialed per our delegated credentialing. So those absolutely have to be matching those numbers. Perfect. That’s.
Genevieve Seney (10:22) easy enough. Then all three would be the same.
Peter Bosworth (10:24) Okay. So then that’s.
Lauren Pollitt (10:26) that ncqa credentialing, ncqa and medallion core are all gonna have to match, okay.
Lauren Pollitt (10:38) And what is the, I know the imlc, like the compact licensing? Like, what is that? Yeah?
Peter Bosworth (10:44) So, this is, this specific skew means that they’ve already been granted an loq, a letter of qualification to participate in the compact. And so that loq is a, is counted as 656 150 dollars because it’s like kind of more labor intensive to get them in. But then once they’re in, we have this post loq skew and it’s just 100 dollars per state… and it only applies to MDS and dos.
Lauren Pollitt (11:16) So, the RN, the, and the MP don’t qualify then even though they can be compact for RN, and then it.
Peter Bosworth (11:24) They do, they, we are able to like do leverage the compact, but it works differently for them because they just have one compact license that allows them to participate or allows them to practice in all those compact states. They don’t necessarily need a specific one for each compact state. Does that make sense? Yes.
Lauren Pollitt (11:45) It does. Okay. All right. So, I’m going back to state licensing that’s… the biggest and I know like that’s the most of what our con, you know what I mean? I know that there’s 650 dollars a piece. If we did nothing today, what is the in like let’s just say if we did nothing, but we know we are going to make an addendum if I did nothing on the state licensing piece and we left it as is we don’t submit any more licenses. What would the overage invoice? Would that be like the 42,000 coming to us, an invoice for 42,000? So.
Peter Bosworth (12:23) It would be the… this is a delta 14. So it’s a 14 overage and then plus the 64 in upcoming consumption, which is seven. So that sums to 78 times 650 is 50… 1,700. Yeah.
Lauren Pollitt (12:51) I don’t want that invoice. Okay. What should we do with state licensing? If let’s say, I don’t submit any more, which I know is even crazy to think because like, I really think that we’re going to have to submit. This is like hard for me. I mean, I’m going to, I would like your expertize on this because I want to avoid an invoice. And I also want to make sure that we’re covered knowing that we may bring another 10 to 15 providers on board, that we may need to get a license if they’re not compact, because I could even submit the compact licensing. If they come with the compact, it’s a lot easier versus submitting for, you know what I mean? Regular license, what would your recommendation be?
Genevieve Seney (13:41) So, yeah, I think it’s like me and Peter, I could jump in a little bit, I think.
Peter Bosworth (13:44) Definitely.
Genevieve Seney (13:45) A little difficult. I think like what recommendation would be is like obviously, all the volumes you gave us today sound pretty within realm. And then state licenses new is the only one that’s the X factor. Is that right?
Lauren Pollitt (13:59) Okay. So.
Genevieve Seney (14:00) I think what we would do is what we have to do today, right? Is, is obviously do your, what you’ve over consumed today, and then your upcoming would be like included in the new state licenses. And then what we would sort of anticipate is kind of what Peter did down there of what we’re tracking to spend and what you’ve requested in the past six. You know, we’ll call it like what has it been three months, four months of data? Like, would it be fair to give you that data and have an idea of what your requested might look like from now until end of year or you’re still not sure what?
Lauren Pollitt (14:35) That might be. Yeah. So the way that I’m understanding this right now, like technically, what we’ve done is we’ve consumed 75. I’m sorry, we’ve consumed 89 plus another 62 more, okay, which we’ve only purchased 75 for this year. And then how many were on year two? The same thing? 75?
Peter Bosworth (14:58) Yes.
Lauren Pollitt (15:00) And only so much of year two can be consumed, which is up to, I think it was the percentage that you gave me, which is why we’re dealing… with this. So, what I think needs to be done is to add… another like 70 76 licenses to like two additions, 75 plus another 75 for this year. And then keeping year two at 75 is the way that I’m looking at this if we, and like if we happen to have to submit, we still wouldn’t hit that threshold of that 110 percent going into year two.
Genevieve Seney (15:45) I think so maybe to kind of say this back the up what the invoice, what I guess the addendum will have to include, right? Is the upcoming and the over two date. Okay. So there’s no, like I want to say like there’s no way around that because we have to cover what your upcoming is since you’re already over the 120.
Lauren Pollitt (16:05) Yeah. So it would be the 70 89 minus 75 plus the 64 which we’ll have to cover that. So we’ll have to include those. And then my thought is to add another 15 to 20 to that right to cover us for right now?
Genevieve Seney (16:22) Exactly. Yeah. And is that, is?
Lauren Pollitt (16:24) That, is that okay? Because I think we’re going to have another like maybe 15 or so that may need to be submitted. And then if we don’t use them, we still can use them in a year or two, which trust me by that point, we will definitely be using them exactly.
Genevieve Seney (16:38) Because.
Lauren Pollitt (16:38) We’re growing, but what I would like to do is at least cover our basis for this year, add an extra 10 to 15 so that we have a little bit of cushion and then… move on from there.
Peter Bosworth (16:51) So, it would be the 14 that’s currently over consumed plus.
Lauren Pollitt (16:56) 64 plus.
Peter Bosworth (16:57) 64 plus 10 to 15.
Lauren Pollitt (17:00) Let’s do the higher end. Let’s do 15 if that’s okay. Okay. So, 64 plus 14 plus let’s do 15 that’s 93, Addition… which I don’t like that number. Can we do 95? Because I don’t like oddball numbers? It’s just weird. Can we just do 95? I’m sorry, it just,
Peter Bosworth (17:20) yes, we can. It’s.
Lauren Pollitt (17:22) just a random like that’s. Just random. It’s either that or we do 90. Like I don’t wanna.
Peter Bosworth (17:27) Yeah. So I wrote down 95 perfect. And then, okay. So state licensing renew, we’re doing, the 40, license renewals… that, that’s because that we’re not including Maria, And then it’s the, yeah. So that’s the number there.
Lauren Pollitt (17:55) 40. And then the medallion corps, ncqa and the ncqa credentialing all have to match. Yes. And we agreed upon 60 seats for that. So it should just be 60 across the board for all three of those. Okay?
Peter Bosworth (18:17) Okay. So that would be an additional 15. I’ve wrote down 18. I think you said 18 at one point, should I do?
Genevieve Seney (18:26) 15, it’s 15 plus the three that she’s over, I think, right? Oh.
Peter Bosworth (18:29) Right.
Lauren Pollitt (18:29) Right, right. Right. Okay. Yeah.
Peter Bosworth (18:37) Okay. And then for imlc, post loq, so, that… is, currently over consumed by seven. There’s 12 in upcoming consumption. And, yeah, if it’s helpful like this is just what I’m looking at. This is helpful to you.
Lauren Pollitt (18:56) I know I was looking at this with everybody yesterday. So I think the goal is for me to like, we’re gonna handle like the compact pieces are super easy and I’ve done them. Obviously, we have to include that now to cover the overage, and… whatever we’ve consumed… but I don’t think that we need to add.
Lauren Pollitt (19:25) Maybe they should.
Lauren Pollitt (19:31) All right. So we’ve consumed seven and how many do we have? Pending still, I think you said 12?
Peter Bosworth (19:36) 12?
Lauren Pollitt (19:40) All right. So we have 19, I guess, can you just make that a 20 for right now? Because I’m going to handle all the compact licensing. Yes, it’s so easy… yep.
Peter Bosworth (19:56) Okay. And then.
Peter Bosworth (20:02) So then prescriptive authority there’s three in the upcoming assumption… and then we’re good. So if you anticipate needing more than that, let us know.
Lauren Pollitt (20:16) I think we’re okay. All right. This is always fun.
Lauren Pollitt (20:26) I wish we would have been like I said, I think that it was hard because we weren’t anticipating this to kind of like pop off as quickly as it did, which then like, ah, we have to hire people and then it was like we got all like I literally had to onboard 20 providers and then do all of their credentialing, like with all of our other payers and then it was like, oh, but we need them all licensed. Now, we need them licensed. And I’m like, and I kept saying like we’re going to be over. We’re going to be over, but I didn’t we, this 120 percent part was never a thing like we, I guess none of us really even knew about that or I probably would have stopped a long time ago. It was not explained. It was explained to us in two different meetings that we can use up all of year one. And if we end up going over in year one, it will go towards year two, but there was never a percentage that was given to us, which is why we’re at where we’re at because I knew we weren’t at our two year allotted amount yet. So I figured we were good, no.
Genevieve Seney (21:28) And that’s honestly a good feedback for myself that I can take to our CRO, you know, obviously when going through sales cycle and things like that. But yeah, understood.
Lauren Pollitt (21:39) Yeah, because we wouldn’t be here. I try and be very careful with what we’re doing, sure. So I’m just grateful that you even reached out to us, Peter, because like I would have never known, and then we would have gotten this bill and been like, what is this? And why? So thank you. I really appreciate you keeping an eye on our account and letting us know.
Peter Bosworth (22:00) My pleasure. Thanks for working with us. We appreciate it. And I think in terms of I’m trying to think in terms of next steps, Jen… I think I can turn around this proposal to you by the end of the day today.
Lauren Pollitt (22:17) Yeah, you can just send it directly to me too. You don’t need to CC the whole world on it. You can just send it right to me because it’s me and my boss, Bryn, that are going to be handling this. You don’t need to have Julius or anybody else on. Okay? We’re good.
Peter Bosworth (22:32) So, I’ll send it to you and Bryn… in terms of like the, you know, assuming we align on the proposal itself, the execution or the signing process would go through Julius.
Lauren Pollitt (22:48) Okay. Is there? Yeah, it probably makes sense if he signed the original contract, right? He did. Yeah, because he had told Bryn just to handle it, so I will let him know. So Bryn and I are going to review it, make sure that we’re aligned once you send it, and then I can have her send it to him for signature. That’s fine. Okay?
Peter Bosworth (23:06) That sounds good. Anything I’m forgetting Jen?
Lauren Pollitt (23:11) No.
Genevieve Seney (23:11) I think that’s good. I think we can probably do this all async, Lauren, if there’s any like if we need to jump on another call, what have you? Obviously, this just needs to be done before the three 31 deadline. Yeah.
Lauren Pollitt (23:23) I don’t want this invoice because if it’s just 50,000 alone for the licensing, I can’t even imagine what it would be for the rest of it. So, like we’re looking at probably close to like 70 80,000 dollars in overage. So that’s… not great at all. So we will move forward from here. I think we’re good to be async at this point. Once you get the proposal over to us, Peter, I’ll discuss it with Brynn. And then if she’s if we’re both aligned with the pricing, we’ll send it over to Julius and it should move pretty quickly because once we got the last executed contract, we signed it within 24 48 hours. So it’ll probably be the same thing here.
Peter Bosworth (24:00) Okay. Excellent. Well, cool. We’ll keep an eye out for it from you later today. Thank.
Lauren Pollitt (24:06) You, I really appreciate it. And again, like, we love you guys. We love working in this platform. So, thank you for making our lives easier.
Peter Bosworth (24:13) We love to hear that. Yeah.
Genevieve Seney (24:15) Thanks, Lauren. It was.
Lauren Pollitt (24:16) Good. Seeing you. Thanks, Jen. It was great seeing you. All right, guys. Have a good day. All right. Bye.